Individual
MRS. NANCY A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1719 CAMBRIDGE DR., SUITE 203, RICHMOND, VA 23238
(804) 658-0435
(804) 562-8584
Mailing address
1791 CAMBRIDGE DR., SUITE 203, RICHMOND, VA 23238
(804) 658-0435
(804) 562-8584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101044021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010136725
—
VA
01
—
080134480
RR MEDICARE
—
05
—
5638798
—
VA
Enumeration date
09/12/2005
Last updated
10/15/2010
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